Patient Assistance Program

Increasing health care charges are affecting patients nationwide. As employers and insurance companies face high expenses, they may move to a cost-sharing strategy, which potentially increases financial burdens on patients. Clinical encounters in which patients experience financial hardship can be awkward and frustrating for both parties. Financial Burden is a significant reason for therapeutic failure and medication noncompliance. As patients face higher out-of-pocket costs, they may face limited healthcare access. Central Health Solutions (CHS) has established the Patient Assistance Program as a Patient-centered strategy to improve the accessibility of patients to essential therapies and to ensure continuity of care.

• Discharged from the hospital/ nursing home
• Multiple insurances
• Multiple pharmacies
• Therapeutic duplications
• Drug Drug Interactions
• Specialty medications
• Retail vs Mail order confusion
• Patient assistance programs
• Manufacturer Programs enrollment
• Medication Reconciliation
• Non Adherence
• Non Compliance

In a research Published on CDC*:

Costs of prescription medications are rising. Many patients have difficulty paying for their prescriptions, resulting in missing or delaying getting medication due to financial concerns. Cost-related nonadherence is high in the USA. Especially among people with chronic diseases. A total of 6%- 7% of US adults reported at least 1 form of cost-related nonadherence in 2014. In adults with type 1 or 2 diabetes, 25% reported underusing insulin in the previous year to manage costs, 3.2% reported rationing insulin daily, and 40% reported not discussing underuse with their physician.

Generally, nonadherence is associated with a greater risk for hypertension, hypercholesterolemia, elevated hemoglobin A1c levels in people with diabetes, and a greater risk for dyslipidemia and extended hospitalizations in patients with hypertension or CVD.

*Van Alsten SC, Harris JK. Cost-Related Nonadherence and Mortality in Patients With Chronic Disease: A Multiyear Investigation, National Health Interview Survey, 2000–2014. Prev Chronic Dis 2020;17:200244. DOI: http://dx.doi.org/10.5888/pcd17.200244

Medication Reconciliation to Reduce Errors and Cost of Care

Successful performance of medication reconciliation has a positive impact on patient’s response to a hospital stay as well as it shows improvement in clinical quality and financial outcome.

Making a list of a patient’s current medicines, verifying it, and comparing it to the medication orders and the patient’s health condition significantly decreases errors. Successful medication management solutions positively impact a patient’s response to a hospital stay. It also shows improvement in clinical quality and financial outcomes.

Traditionally, organizations have utilized a variety of caregivers, including physicians and mid-level practitioners, to offer medication reconciliation services and complete the reconciliation process. The result being a fragmented process with sub-optimal accuracy.

CHS has developed a centralized platform for providing medication reconciliation services. Our pharmacist-driven services use a technology that offers the potential to improve the accuracy of this process while also reducing overall cost.

Our Plan Will Have Following Objectives:

• We use an external retail database to validate home medication lists and ensure compliance
• We communicate with patients and providers to generate
  most accurate medication list including all Vitamins, OTC, Herbs
• We take in account all guidelines to generate most
  accurate and comprehensive Medication reconciliation report with all possible clinical interventions
• We provide complete and comprehensive medication reconciliation report to covered entities upon request
• Our process identifies all possible clinical interventions and communicates directly to patient’s healthcare providers
• After taking into account all guidelines, we generate the most accurate and comprehensive medication reconciliation report with all possible clinical interventions
• During the medical reconciliation process, we identify
  all possible clinical interventions and communicate directly to the patient’s healthcare providers
• We have ability to report changes directly to EHR

Our Plan Medication Reconciliation Will Have Following Objectives:

• Our medical reconciliation plan aims to reduce hospitalization
• We aim to identify and reduce health-related adverse
  events with medication management services
• Driven by a licensed, full-time clinical pharmacist,
  we aim to provide complete and comprehensive medication reconciliation reports to covered entities upon request
• Our Medication Reconciliation process is driven by
  licensed, full-time clinical pharmacist
• Our Plan aims to reduce Hospitalization
• Our Plan aims to identify and reduces health related
  adverse events

Scope Of Our Services:

• Pre-hospital admission
• Post-hospital discharge
• Clinical practice ordering medication reconciliation for their chronic patients
• Health plan ordering medication reconciliation for their patients
• Home health agencies who are required to do Medication reconciliation